A Human factors approach to care and compassion

A Human factors approach to care and compassion? Peter Jaye Sa. IL centres KHP

Introduction What are human factors? How are care and compassion related to human factors Can they be used to re-engage staff with care and compassion

Introduction – my personal journey My training My consultant career Now

My patient safety journey Traditional Patient safety approach Human Factors Care and compassion

Patient safety Inter-professional Education Human Factors Simulation

My patient safety journey Traditional Patient safety approach IPE Human Factors Care and Simulation compassion Patient perspective

Traditional Patient safety approach

Healthcare approach to Patient safety • Elimination of error Root cause analysis • Top down control • Guidelines Never events 7 x MRSA • Targets 100% hand washing

Healthcare education • Loss of the “therapeutic self” • Logical, analytical diagnosticians • Focus on technical skills acquisition • “Individual” blame

Human factors Human Factors

What are Human Factors? The study of the interrelationships between humans, the tools they use, and the environment in which they live and work. 11

Common Human Factors Mental workload Distractions The physical environment Physical Demands Device / product design Teamwork Process design 12

Non-technical Skills Cognitive or mental skills: Social skills: – Decision making – Team-working – Planning – Leadership – Situation awareness – Communication – Triage/prioritization – Effective coping with disruptions/distractions – Efficient management of multiple patients 13

My mum and dad

Care and compassion

Is there a problem with care and compassion in healthcare?

Care and Compassion? Report of the Health Service Ombudsman on Ten Investigations into NHS Care of Older People The findings of my investigations reveal an attitude – both personal and institutional – which fails to recognise the humanity and individuality of the people concerned and to respond to them with sensitivity, compassion and professionalism.

What are care and compassion? Compassion • a feeling of distress and pity for the suffering or misfortune of another, often including the desire to alleviate it. Care • to provide physical needs, help, or comfort • to be troubled or concerned; be affected emotionally. • to have regard, affection, or consideration (for)

What are we trying to achieve?

What are we trying to achieve? < 7 MRSA cases • Reduction in morbidity and mortality with a HF contributory factor • A better healthcare experience Page 20

Healthcare Outcomes “Don’t value the activity more than the value proposition” Ian Curran “Its not the activity itself its why we do it” Page 21

The Francis report If there is one lesson to be learnt, I suggest it is that people must always come before numbers. It is the individual experiences that lie behind statistics and benchmarks and action plans that really matter, and that is what must never be forgotten when policies are being made and implemented. Robert Francis QC

Human factors in Healthcare Care and compassion Human Factors Traditional Patient safety approach

My patient safety journey Traditional Patient safety approach Human Factors Health “care” Care and compassion

Compassionate attributes Sensitivity Care for well being / motivation Sympathy Non judgmental Empathy Distress tolerance

Teaching Care and Compassion Understand where compassion comes from Understanding of the blocks/barriers Competative psychology vs Collaborative psychology Threat focused vs compassion focused

Understanding the blocks and barriers • Competing and striving • Social pressures and comparisions • Learning how to fail

Can simulation re-engage learners with care and compassion? • Experiential learning modalities • Harnessing the patient voice within education • Modeling behaviour

“Human factors in Healthcare” An opportunity to improve the delivery of healthcare • Integrate care and compassion into Human factors • Improving Patient Safety AND Patient Experience Page 29

Our destination Harm free care Page 30 Health care Simulation and Interactive Learning Centres (Sa. IL) King’s Health Partners AHSC

Conclusions “Healthcare delivered without compassion isn’t healthcare at all” Simulation and Interactive Learning Centres (Sa. IL) King’s Health Partners AHSC Page 31

Conclusion- the patient’s perspective 32